Application

For
Internship Programme

Please return completed form to:

E-mail: internship@sesric.org

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 INTERNSHIP PROGRAMME APPLICATION FORM

INSTRUCTIONS

1. Please read the instructions carefully.

2. Answer each question clearly and completely

3. Incomplete Applications will not be considered.

1. Family Name 2. First Name 3. Other Names 4. Maiden Name

5. Date of Birth 6. Place of Birth 7.Nationality of Birth 8. Present Nationality

9. Gender 10. Marital Status

11. Present Address 12. Permanent Address

13. Telephone Number 14. Fax Number 15. E-mail Address

16. What is your area of interest and in which department you want to work? Please
indicate by clicking in order of preference three main areas in which you would like to be
considered.

Research Department

Statistics Department

Training & Technical Cooperation Department

IT & Publication (incl. web design and programming, graphical design, network
management, translation, library management, desktop publishing)

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 Administration & Finance
17. Please Specify Internship Duration

Start End

18. Knowledge of Language

What is your mother tongue?

Indicate your level of proficiency any other languages you may speak using the codes.
E=Excellent VG=Very good G=Good A=Average L =Limited

Language Read Write Speak Understand

1.

2.

3.

4.

19. Education. Give full details - Please give exact name of institution and titles of degrees in
original language.

Name, Place and From To Degrees and Academic Main Course of Study
Country Distinctions CV

20. Computer Skills

Please indicate computer skill you have:

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21. Employment Records

List in reverse order employment you have had.

From: To: Name and Address of Type of Business

Month/Year Month/Year Employer

Description of your duties

From: To: Name and Address of Type of Business

Month/Year Month/Year Employer

Description of your duties

From: To: Name and Address of Type of Business

Month/Year Month/Year Employer

Description of your duties

22. Provide Three Contact Person as Reference

Full Name E-mail Telephone Numbers

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23. Please provide other relevant information if any

24. I certify that my answers to the above questions are true, complete and correct to the
best of my knowledge and belief. I certify that the statements made by me in answer to the
foregoing questions are true, complete, and correct to the best of my knowledge and belief. I
understand that any misinterpretation or material omission made on this application form,
or other document requested by the Centre renders an intern with SESRIC liable for
termination or dismissal.

Date: ______________________________ Signature: ____________________________